I-Hemangioma yomgudu - yintoni na? Indlela yokuphatha i-hemangioma yomgudu

Ngokwezibalo, phakathi kwezona zinto ezibangela ukufa emhlabeni wethu, ngaphezu kweengozi kunye nezifo zengqondo, ziza kuba nezifo eziphilayo. Kwaye ininzi, ngakumbi ukuba i-tumor iyingozi, ukuxilongwa okufanayo kufana nesigwebo. Ngokungafaniyo yimeko kunye nokufumanisa imfundo ebuthathaka. Kwiimeko ezinjalo, ukugxekwa kuthathwa njengento efanelekileyo xa unyango lwe-pathology lunokwenzeka, kwaye isiphumo saso sikhokelela ekuphiliseni isigulane. Kuloo maxesha ukuba i- hemangioma yomgudu ibandakanyeke.

Yintoni na?

Ngokombono jikelele, eso sifo sinokubonakala esikhumbeni kunye nokuchaphazela izitho ezahlukeneyo zangaphakathi kunye neenkqubo, ngokuhlala zifihlakele kwamehlo enkonzo yazo yonke impilo yazo okanye zizitholele ngengozi xa zihlola ingxaki, kuquka ukuguqulwa kwamathambo kwisahluko sethambo Inkqubo. Ukuba sithetha ngokuthe ngqo malunga nokuxilongwa "kwe-spinal hemangioma" - yintoni na ke, iicawa zanamhlanje zichaza ukuba yi-neoplasm engenangqondo, eyona i-conglomerate yamathambo ezininzi, ngamanye amaxesha ishiya izicubu zethambo. Ngokumalunga nale nto, le ntsholongwane ibizwa nangokuthi "i-vertebral angioma" okanye "i-malter".

Masifunde, igama elithi "hemangioma" (umlenze) - yintoni na? Eli gama livela kumazwi esiGrike i-haima - igazi, isithunywa - isitya, "i-oma" -kuphela, uphawu lwazo zonke izifo zenyama.

I-tumor ngokwayo ikhula ngokukhawuleza kwaye ayiyiyo imetastasis. Isiqalo esona sikhulu sendawo yindawo yomzimba we-vertebrae, kunye ne-cartilage substance phakathi kwabo. Nangona kunjalo, kukho ezinye iindawo ezinqabileyo nezingavamile emathanjeni. Kwizinto ngokwazo, intambo yomgudu iphinda ibonakalise iiseli ezahlula ezi nqanawa, ziqinisekisa ukuba imvelaphi yendawo yokukhula.

Phakathi kwazo zonke izicubu ze-osseous system, i-hemangioma yomzimba womgudu ifaka isahlulo seshumi seentlobo zentsholongwane ezimiweyo apha, zihamba ngeempawu zonyango ezinobundlobongela, kwaye zifumana ukufundwa okungafunekiyo kwiimvavanyo ze-pathomorphological.

I-Etiology yesifo

Ngokuphathelele isifo esinjalo, njenge-hemangioma yomgudu - ukuba yintoni, apho ikhona kunye nendlela ibonakalisa ngayo - umfundi sele esele eneengcamango zomhlaba. Ngoku yisihlandlo sokuqala ukufundisisa izizathu kunye neendlela zokuphuhliswa kwesisu se-vascular vascular.

Ngelishwa, nangona ekuqaleni kwekhulu lama-21, inzululwazi yezokwelapha ayiniki inkcazo ecacileyo ye-etiology ye-neoplasm. Kuqhelekileyo ukuchonga iziganeko zesifo. Eyona nto iphambili yintsapho eyimfuneko, ebonisa ukuba kukho i-defect kwiijethi kunye nokutshintshwa kweengxaki kwiintlobo zentsholongwane yokuzalwa kwesakhiwo sotonga lwesitya kwindawo ye-vertebral.

Ukongeza, igalelo elithile lenziwe yimiba efana ne-hypoxia yamathambo yendawo kunye nenqanaba eliphakamileyo le-hormone ye-estrogen, eqinisekisiwe ngedatha yolwazi. Le nzala ifunyanwa kubemi besifazane abaneminyaka yobudala engama-5 ngokuphindaphindiweyo ngokuphindaphindiweyo amahlanu ngaphezu kwamadoda.

Iimpawu zePathogenetic

Kwi-vertebra esele ishintshile emva kokuzalwa kuwo wonke umphefumlo uya kunikwa imiphumo eyahlukeneyo engokwenyama kunye nempilo enokubangela ukuba kuvele ama-microtraumas osisigxina kunye neemvula ezivela kwiinqanawa ezinobulwelwe kunye nezibuthakathaka. Ukuyeka ukunyuka kwegazi, umzimba uvuselela ukusabela kwe-clotting, kubandakanywa nokwakhiwa kwenani elikhulu le-thrombi kwinqanaba langaphakathi. Ngelo xesha, ii-osteoclast zesebenzayo, ezonakalisa imithwalo yebhondi yamalungu omzimba kunye nokukhuthaza ukukhula kwemikhumbi esanda kuveliswa kwindawo ekhutshwe emva kwenkqubo yokuhlaziya i-fibrin clots. Ngoko, ngokukhawuleza, kodwa ngokuqinisekileyo, kukho ukwanda kwintlanzi ye-vascular circular.

Iimpawu zendawo zendawo yezilonda ze-vertebrae

I-Hemangioma ye-thoraic spine iyona nqanaba eliqhelekileyo le-lesion, ngakumbi kwi-vertebra yesithandathu. Olu lwendawo lwenzeka kuma-85 ekhulwini.

Kwi-2% yamatyala, izilonda zomlomo wesibeleko okanye ze-sacral vertebrae zinokwenzeka . Kukho nakwinkcazo yeklinikhi yokuphuhliswa kwe-hemangiomatosis ezininzi, ezichaphazela kwi-2 ukuya kweyimizimba emihlanu.

I-Hemangioma ye-lumbar spine, ngokukodwa ngamanqanaba ayo aphezulu, okwesibini kuvela rhoqo kwi-tumor endaweni.

Ukubonelelwa ngeendawo eziqhelekileyo zezidumbu, akunzima ukuqiqa oko kubangela ukuba uphawu oluphambili lwesifo. Ibonakala ngokubhekiselele kwimvelaphi yezinto ezinobungozi bendawo ekutshintsheni kwiiparitha zomzimba we-vertebra, ngokuphakama kwayo kunye nokuphuhliswa komonakalo, kunye nokunyanzeliswa kwamagquma ase-neural athile kunye nemfundo enjenge-spinal hemangioma. Ubungakanani besisu, ngokukodwa xa sithatha yonke indawo yesigxina, sithintela ngqo kwiklinikhi kunye neqondo lokubonakalisa isifo sesifo.

Iiklinikhi kunye ne-hemangiomas yomqolo wamagxa

Njengoko kuchazwe ngasentla, iimpawu zesifo sesi sifo zihlala zicinywa. Kwaye isigulane sifuna uncedo lwezokwelapha ngenxa yentlungu, ngenxa yobomi obuhluke ngokupheleleyo. Nangona kunjalo, i-hemangioma inokubangela intlungu ekliniki kulawo matyala xa ubukhulu bayo buba ngaphezu kwe-1 cm, eyona nto ibonisa ukuba yinto ephazamisayo-uhlobo oluthile lwexesha elizayo lokuxhatshazwa komzimba we-vertebral body. Isifo sesifo esiqhubekayo sichaza ukukhula kwendawo ethile ye-hemangioma njengobundlobongela, ngokukodwa ngokuqinileyo nokunyamezela. Iimeko ezinjalo zifikelela kuma-4%. Intlungu ibangelwa ukugqitywa kweentambo zesigulane kunye nomnxeba ngenxa yokuzaliswa kwegazi kwiinqanawa ze-tumor kunye nokunyakaza okusebenzayo, iintlambo, utshintsho kwisimo se-trunk kwithuba, kunye ne-thrombosis kunye nokuxhatshazwa okulandelelweyo kwezixhobo zeligamental of the column.

Ngokomzekelo, i-hemangioma yomlenze wesibeleko ingabonakaliswa yintlungu yendawo apho ijikeleza entanyeni okanye iguqa umzimba, ukungathandekiyo kwimeko yesihlunu, kubandakanywa nokwenza izinto ezahlukeneyo zomzimba. Eyona nto ibuhlungu obubusuku bobusuku kwindawo yokuhlambalaza kwendawo.

Umthwalo oqhelekileyo uba ngumngcipheko kwaye unokukhokelela ekuqhekekeni kokunciphisa xa inkqubo ye pathological ichaphazela ngaphezu kwesigamu somzimba we-vertebral. Ukuba ukuphulwa kwentembeko ye-vertebra sele ibonelelwe, ukunyanzeliswa kwemithi yomgogodla kungabonakalisa ngenguqu ezinzulu, kuze kube yintlupheko yokuvuthwa, okanye ukukhubazeka kwesithuthuthu.

Iimpawu zokuxilonga ukufumanisa i-pathology

Ukufumanisa i-hemangioma kunzima ngenxa yeempawu zokukhula kwayo okude kunye nokukhawuleza, kunye nokuhamba kweempawu kwiimeko ezininzi.

Iindlela eziphambili zokuxilongwa ngeekhompyutheni kunye ne-magnetic resonance imaging, uvavanyo lwe-X-ray lomgudu, kunye ne-angiography yemfundo ye-pathological ne-introduction of the difference and the production of a series of images. Ukongezelela ekufumaneni nasekumiseni ukuxilongwa kwe-hemangioma, iindlela zongeziweyo ezongeziweyo zenzelwa ukubeka iliso nokulawula i-neoplasm ebunayo. Ukulandelela izinga lokukhula kunye nokuqwalasela i-pathomorphology yesakhiwo somzimba ngokwawo, ngenxa yombono oqinileyo, umbuzo wendlela yokuphatha i-hemangioma yomgudu isisombululo.

Ulawulo lwezilonda kunye ne-hemangioma yomgudu

Ngokujonga rhoqo isisu, isicwangciso sokulinda ukuphathwa kwesigulane sisekelwe kwintlalo ezinzileyo kunye nophuhliso olucothayo. Kuphela kwimeko yokukhula kobudlova, ukusetyenziswa kwezonyango kwenziwa.

Ngokuxhomekeka kwindawo kunye nobukhulu be-hemangioma indlela ekhethiweyo yonyango.

I-Sclerotherapy - indlela ephambili kunye neyona ndlela efanelekileyo yokuchonga

Ukumisa ukukhula, ukubunjwa okusha ngaphakathi ngaphakathi kunye nenaliti ekhethekileyo ekhumbeni kuzaliswe izinto ezikhethekileyo ezifana nezakhiwo zentente yamathambo. Izinto ezinjalo yi-polymethylmethacrylate, emva koko iinqwelo ze-hemangioma zithatyathwa, kwaye isigxina se-vertebra siyaqiniswa. Ngako-ke, indlela efana neyo kunyango ibizwa ngokuba yi-percutaneous puncture vertebroplasty. Yenziwa phantsi kwe-anesthesia jikelele okanye yangaphakathi.

Njengahlobo lwe-sclerotherapy, ukusetyenziswa kwe-agent agent esebenzisa i-foaming, isetyenziswe ngqo kwi-tumor ngokuncediswa kwintambo. Isebenza njenge-embolus, igxininisa iimpahla zokutya kunye nokuyeka ukunikezwa kwezondlo kwizinto ezijoliswe ekukhuleni kwegazi, ngokukhawuleza zikhokelela ekuphuculweni kwayo kunye ne-sclerosis. Le ndlela isetyenziswe ekungabikho kwengozi yokuqhekeka komzimba we-vertebral body, kunye nokunokwenzeka kweemvula ezivela kwiinqanawa ze-hemangiomatous.

Indlela yokugqirha isetyenziselwa xa kunesidingo sokunciphisa i-substance yomthambo womgca kunye neengcambu zayo kunye nezakhiwo zethambo esele zaphulwa kunye nokunyanzeliswa kwezinto ezisondeleyo. Ukuchasana kwemfundo ngokwayo kuqhutyelwa.

Ingozi kunye nokuqaphela kwiindlela zokulawula isigulane nge-hemangioma

Indlela eyaziwa ngayo imitha ye-hemangioma okwangoku isetyenziswa ngokukhawuleza ngenxa yobuninzi beendlela zokusebenza ezikhuselekileyo nezikhuselekileyo.

Kufuneka kukhunjulwe ukuba ukuba umntu unomzimba ofanayo, loo miphumo emzimbeni njengokufudumeza, ukuhlambalaza, nayiphi na inkqubo kunye nenkqubo ye-physiotherapy, kunye namachiza omntu, kufuneka kugwenywe ukunciphisa ukunyusa nokunyusa ukukhula kwengqondo.

Ngelishwa, kwiimeko zanamhlanje zobomi, kubandakanywa nokusingqongileyo, ukutya, amanzi kunye nomoya, impilo enempilo ingabhaqa ngambalwa. I-Hemangioma, nangona ibhekisela kwiinkqubo ze-tumor, kodwa isenokuba yinkqubo enobungozi kwiimeko ezininzi. Yaye kunye nokubonwa kwayo okunamandla kunye nokungabikho kokukhula kobudlova, umgangatho wobomi awukhathazeki.